Jones, Judy Lee

Jones, Judy Lee is an sole proprietor health care provider with primary practice located at 2001 S Woodruff Suite 19, Idaho Falls ID 83404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jones, Judy Lee can be contacted via phone (208) 529-2603.

Contact Information

Primary practice address
2001 S Woodruff Suite 19 Idaho Falls ID 83404
Phone: (208) 529-2603
Fax: (208) 529-0451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M4671 Idaho

Profile Details

NPI number 1295707099
LBN Legal business name Jones, Judy Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Feb 18th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295707099 NPPES
Idaho Other 000010005844 REGENCE BLUE SHIELD
Idaho Other 46714 REGENCE BLUE SHIELD
Idaho MEDICAID 000384000 REGENCE BLUE SHIELD

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